ABSTRACT
The review considers the results of studies of the psychosomatic aspects of rheumatoid arthritis (RA), which have been published in the past 5 years. In particular, there is evidence for the impact of chronic pain on the psychological status of patients with RA, for that of the disease on quality of life in the patients, their sociopsychological and interpersonal relationships; trials of the efficiency of additional treatment options for RA are given.
Subject(s)
Arthritis, Rheumatoid , Chronic Pain , Complementary Therapies/methods , Psychotherapy/methods , Stress, Psychological , Antirheumatic Agents/therapeutic use , Arthritis, Rheumatoid/complications , Arthritis, Rheumatoid/psychology , Arthritis, Rheumatoid/therapy , Chronic Pain/etiology , Chronic Pain/psychology , Chronic Pain/therapy , Humans , Interpersonal Relations , Patient Compliance , Psychosomatic Medicine , Quality of Life , Social Adjustment , Stress, Psychological/etiology , Stress, Psychological/therapy , Treatment OutcomeABSTRACT
120 subjects with a verified diagnosis of rheumatoid arthritis (RA) and 94 ones with osteoarthrosis (OA) were examined to evaluate the influence of structural electromagnetic resonance therapy (SEMRT) on psychological status of patients suffering from both inflammatory and dystrophic joint diseases. Spielberger test for situational and personal anxiety and Beck test for depression were used to detect and assess changes in the patients' psychological condition. Comparative studies demonstrated advantages of incorporation of SEMRT in combined RA and OA treatment. Wide spectrum of SEMRT therapeutic actions accounts for its beneficial action in patients presenting with anxiety and depressive disorders associated with inflammatory and dystrophic joint diseases highly refractory to routine treatment.
Subject(s)
Arthritis, Rheumatoid/therapy , Osteoarthritis/therapy , Adolescent , Adult , Anxiety/prevention & control , Anxiety/psychology , Arthritis, Rheumatoid/psychology , Depression/prevention & control , Depression/psychology , Female , Humans , Magnetic Field Therapy , Male , Middle Aged , Osteoarthritis/psychology , Young AdultABSTRACT
This clinical and psychological study involved 100 patients aged 24-51 years with primary fibromyalgia syndrome (PFS). The patents exhibited clinical manifestations of neurotic disorders, low level of subjective control, dysadaptive attitude toward the disease, and an intense spectrum of protective psychological mechanisms. The main clinical manifestations of PFS correlated with psychological status of the patients. It is concluded that objective evaluation of clinical conditions of PFS patients requires integrated psychosomatic assessment of their health status.
Subject(s)
Fibromyalgia/complications , Psychophysiologic Disorders/etiology , Adult , Diagnosis, Differential , Disease Progression , Female , Fibromyalgia/psychology , Follow-Up Studies , Humans , Middle Aged , Pain Measurement , Psychological Tests , Psychophysiologic Disorders/diagnosis , Psychophysiologic Disorders/psychology , Young AdultABSTRACT
AIM: To study whether life quality (LQ) indices may be used to evaluate the efficiency of structural resonance electromagnetic therapy (SREMT) and its correction in patients with rheumatoid arthritis (RA) and in those with osteoarthrosis (OA). SUBJECTS AND METHODS: One hundred and twenty patients with significant RA and 94 patients diagnosed as having OA were followed up. The SF-36 questionnaire was used to detect and assess objective data on health problems and changes. The patients with RA and those with OA were randomized to the groups matched for gender, age, and disease duration: a study group (n = 80) and a control one (n = 40) for RA; a study group (n = 56) and a control one (n = 38) for OA. Both group patients received the same medical and physiotherapeutic treatment (within each nosological entity, respectively). Furthermore, in the study groups, the patients with RA and those with OA had additionally 10-12 daily (43-min) sessions of SREMT on a Rematerp apparatus. RESULTS: The inclusion of SREMT into the multimodality treatment of patients with RA and those with OA has shown significant benefits. A wide spectrum of therapeutic action of SREMT exerts a positive impact on the basic LQ indices (the indicators of physical and role physical performance, somatic pain, general condition, and social and role emotional performance). CONCLUSION: SREMT may be recommended for use in rheumatological care as a technique that enhances the efficiency of performed therapy and medical rehabilitative measures in inflammatory and degenerative rheumatic diseases.
Subject(s)
Arthritis, Rheumatoid/rehabilitation , Health Status Indicators , Magnetic Field Therapy/methods , Osteoarthritis/rehabilitation , Physical Therapy Modalities , Quality of Life , Adolescent , Adult , Aged , Arthritis, Rheumatoid/psychology , Female , Humans , Male , Middle Aged , Osteoarthritis/psychology , Surveys and Questionnaires , Treatment Outcome , Young AdultABSTRACT
Under observation there were 120 patients with rheumatoid arthritis (RA), which were divided into basic (n = 80) and control group matched by gender, age and duration of the disease. The all patients received the similar drug and physiotherapeutic treatment. Furthermore additional sessions of structural resonance electromagnetic therapy (SREMT were performed) in patients from basic group. The comparative studies showed significant benefit of inclusion of SREMT in complex management of RA patients. The wide spectrum of therapeutic action of SREMT has positive influence on basic parameters of the quality of life of RA patients: the general indices of physical and role physical functioning, somatic pain, overall health, social and role emotional functioning. SREMT may be recommended for using in rheumatologic clinic as a method of increasing the efficacy of conducted treatment and therapeutic and rehabilitation measures in RA.
